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Recently diagnosed with osteoarthitis in both hands. The pain was so bad that I would wake up in the middle of the night in pain and I was not able to use my right hand at all. Doctor put me on voltaren one week ago. So far I have been pain free. Still have swelling in joints but the morning stiffness and pain is gone. Gave it an 8 rating since I have only been on the drug for 1 week. Have experienced some acid reflux and sleepiness during the day. I don't know if it is because of the medicine or other problem.